Individual
MAGGIE CHANDLER BLAGBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 S BRUNDIDGE ST, TROY, AL 36081-3148
(334) 618-3302
Mailing address
1018 S BRUNDIDGE ST, TROY, AL 36081-3148
(334) 618-3302
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21-176210
21-176210
—
Enumeration date
08/25/2021
Last updated
03/02/2023
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